| NPI | 1427709682 |
|---|---|
| Doing Business As | WV PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | IIAYA RAMANAN RAJAGOPAL Owner 205-249-6175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2022-01-10 |
| Last Update Date | 2022-01-10 |